Efficacy of balloon angioplasty of the superficial femoral artery and popliteal artery in the relief of leg ischemia

Purpose: To assess the efficacy of balloon angioplasty in the superficial femoral artery (SFA) and popliteal artery for relief of lower-limb claudication and critical ischemia. Methods: All patients who underwent SFA or popliteal balloon angioplasty at the Royal Adelaide Hospital between January 198...

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Published inJournal of vascular surgery Vol. 23; no. 4; pp. 679 - 685
Main Authors Stanley, Brendan, Teague, Benjamin, Raptis, Spero, Taylor, David James, Berce, Michael
Format Journal Article
LanguageEnglish
Published United States Mosby, Inc 01.04.1996
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Summary:Purpose: To assess the efficacy of balloon angioplasty in the superficial femoral artery (SFA) and popliteal artery for relief of lower-limb claudication and critical ischemia. Methods: All patients who underwent SFA or popliteal balloon angioplasty at the Royal Adelaide Hospital between January 1989 and September 1994 were reviewed. Risk factors, indications, angiographic variables, and complications were assessed. Outcome was expressed in life-table form as patency, limb survival, and patient survival rates. Results: One hundred seventy-six patients (96 men, 80 women) who underwent 200 balloon angioplasty procedures were monitored for a mean of 25 months. Seventy-four percent of procedures were for claudication relief and 26% for critical ischemia. The cumulative patency rate at 24 months for all cases was 46%. The limb salvage rate was 95%, and the patient survival rate was 91% at 24 months. Conclusion: Percutaneous transluminal angioplasty of the SFA and popliteal arteries is commonly used to treat claudication and critical ischemia but is associated with a high initial failure rate and poor patency at 24 months. Balloon angioplasty is not recommended to treat claudication.
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ISSN:0741-5214
1097-6809
DOI:10.1016/S0741-5214(96)80049-8